National Provider Identifier [NPI]: |
1033206131 |
Last Name Of The Provider |
HAMILTON |
First Name Of The Provider |
JARRETT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1951 FRONTAGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIERRA VISTA |
Zip Code Of The Provider |
856354606 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
3253 |
Number Of Medicare Beneficiaries |
441 |
Total Submitted Charge Amount |
260338 |
Total Medicare Allowed Amount |
147418.84 |
Total Medicare Payment Amount |
107433.19 |
Total Medicare Standardized Payment Amount |
108244.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1100 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
5946 |
Total Drug Medicare AllowedAmount |
403.87 |
Total Drug Medicare PaymentAmount |
309.65 |
Total Drug Medicare Standardized Payment Amount |
309.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2153 |
Number Of Medicare Beneficiaries With Medical Services |
441 |
Total Medical Submitted Charge Amount |
254392 |
Total Medical Medicare Allowed Amount |
147014.97 |
Total Medical Medicare Payment Amount |
107123.54 |
Total Medical Medicare Standardized Payment Amount |
107934.98 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
365 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2761 |